中国组织工程研究Issue(9)：1400-1404,5.DOI:10.3969/j.issn.2095-4344.2015.09.015
可吸收钉与股骨内髁解剖钢板修复内侧髁Hoffa骨折：钢板贴附较好固定牢靠
Absorbable screws and anatomical plate of medial femoral condyle for treatment of medial condyle Hoffa fractures:good steel plate attachment and firm fixation
邱长茂 1刘宏智 1张银光 2刘兆杰 2田维 2贾健2
作者信息
- 1. 天津医科大学研究生院，天津市 300070
- 2. 天津医院创伤骨科，天津市 300211
- 折叠
摘要
Abstract
BACKGROUND:Medial condyle Hoffa fractures is often accompanied by joint surface grinding, so improper therapy would induce disunion of fracture or knee dysfunction. Screw fixation alone is difficult to realize entirety of comminuted fracture block. Fixation intensity is poor. In addition, common steel plate for medial condyle Hoffa fractures requires constant shaping during surgery. Moreover, it limits the direction of the screw and impacts the stability of fracture fragments after resetting.
<br> OBJECTIVE:To explore the characteristics of medial condyle Hoffa fractures, and analyze the effects of absorbable screws combined with femoral condyle anatomical plate in the treatment of above fracture.
<br> METHODS:Data of 12 patients with medial condyle Hoffa fractures treated with absorbable screws combined with distal medial femoral anatomic plates in the Department of Traumatic Orthopedics of Tianjin Hospital in China from May 2010 to June 2013 were retrospectively analyzed. There were 8 males and 4 females at the age of 21-67 years, averagely 42 years. Before treatment, al patients were subjected to knee anterioposterior, lateral X-ray films and CT, and MRI examination. 12 patients received open reduction and internal fixation, intraoperative fracture with absorbable screw combined with anatomic plate fixation. After treatment, fracture healing and the knee joint function recovery were observed during fol ow-up.
<br> RESULTS AND CONCLUSION:Al patients were fol owed up for 16-48 months. Fractures were healed. No loosening or fracture re-displacement occurred. Flexion range of knee joint was from 110° to 135°. According to Leteneur’s functional assessment system, there were excel ent in 9 cases, good in 2 cases, fair in 1 case with the excel ent and good rate of 92%. The absorbable screw fixation can realize the entirety of articular surface of crushed bone. The absorbable screw fixation combined with anatomic plate is effective in treatment of medial condyle Hoffa fracture, which further strengthened fixation. Its operation is convenient. Steel plate attachment is good, has some advantages, such as firm fixation, less complications, early functional exercises, and good repair effects. Thus, it can provide reference for the repair of above fractures.关键词
植入物/骨植入物/内侧髁Hoffa骨折/切开复位内固定/解剖钢板/可吸收钉/膝关节活动范围分类
医药卫生引用本文复制引用
邱长茂,刘宏智,张银光,刘兆杰,田维,贾健..可吸收钉与股骨内髁解剖钢板修复内侧髁Hoffa骨折：钢板贴附较好固定牢靠[J].中国组织工程研究,2015,(9):1400-1404,5.
